| Ttm Licensed Clinical Social Worker Inc. | |
|
16133 Ventura Blvd Ste 1125 Encino CA 91436-2424 | |
| (818) 522-6212 | |
| Not Available |
| Full Name | Ttm Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16133 Ventura Blvd Ste 1125, Encino, California |
| Authorized Official Name and Position | Tatiana Melendez (PRESIDENT/ CEO) |
| Authorized Official Contact | 3104901968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ttm Licensed Clinical Social Worker Inc. 19360 Rinaldi St # 141 Porter Ranch CA 91326-1607 Ph: (310) 490-1968 | Ttm Licensed Clinical Social Worker Inc. 16133 Ventura Blvd Ste 1125 Encino CA 91436-2424 Ph: (818) 522-6212 |
| NPI Number | 1104454966 |
|---|---|
| Provider Enumeration Date | 03/29/2020 |
| Last Update Date | 03/29/2020 |
| Certification Date | 03/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104454966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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